医疗事故技术鉴定相关问题研究

发布时间：2018-02-24 08:05

本文关键词： 医疗事故鉴定改革成效相关因素医疗过失行为　出处：《四川大学》2006年硕士论文　论文类型：学位论文

【摘要】：【研究背景及目的】医疗事故技术鉴定结论直接关系到产生纠纷的医患双方的切身利益，又因其是否客观公正常受到质疑。2002年我国颁布实施的《医疗事故处理条例》规定由医学会取代原医疗事故技术鉴定委员会进行医疗事故技术鉴定，，目前已经实践了将近四年。本研究采用统计推断和Logistic回归分析的方法分别评估医疗事故技术鉴定改革的成效并探索与省级医疗事故技术鉴定结论相关的因素以及分析引起医疗事故争议的医疗行为构成及分布规律。【方法】应用横断面研究的方法对2002年9月～2005年8月四川省医疗事故技术鉴定办公室组织的304例鉴定案例进行回顾性调查。【结果】(1)改革后的医疗事故技术鉴定组织市医学会鉴定医疗事故的比例高于市鉴定委员会；(2)省级医疗事故技术鉴定结论与首次鉴定情况、医院级别、医务人员职称、鉴定专家争议和中止鉴定程序(主要是因为患方要求对病历真伪性进行鉴定，占54.54％)相关。与无首次鉴定相比，首次鉴定为医疗事故后再次鉴定为医疗事故的概率明显增加；鉴定专家组专家对鉴定结论存在争议使鉴定为医疗事故的概率增加；随着医院级别和医务人员职称的提高，被鉴定为医疗事故的概率降低；患方因提出对争议病历进行真伪性鉴定要求中止医疗事故鉴定程序，被鉴定为医疗事故的概率降低；(3)在构成医疗事故的医疗过失行为中，以医疗技术方面的过失为
[Abstract]:[background and objective] the conclusion of technical identification of medical malpractice is directly related to the vital interests of both doctors and patients who have disputes. In 2002, the Regulation on the handling of Medical Accidents issued and implemented in China stipulated that the Medical Association should replace the original Medical accident Technical Appraisal Committee for the technical identification of medical accidents. At present, it has been practiced for nearly four years. In this study, statistical inference and Logistic regression analysis were used to evaluate the effectiveness of the technical identification reform of medical malpractice and to explore the factors related to the conclusion of technical identification of medical malpractice at the provincial level. This paper analyzes the constitution and distribution law of medical behavior which causes medical malpractice dispute. [methods] A retrospective investigation was conducted on 304 cases of medical malpractice technical identification organized by Sichuan Medical accident Technical Appraisal Office from September 2002 to August 2005 by cross-sectional study. [results] 1) the proportion of medical malpractice identified by the Municipal Medical Association was higher than that by the Municipal Medical Association after the reform. The dispute between experts and the suspension of the identification procedure (mainly because the patient requested to identify the authenticity of the medical record, accounting for 54.54) is related. Compared with the absence of the first identification, the probability of the first identification as a medical accident is obviously increased after re-identification as a medical accident; The probability of identification as medical malpractice is increased because of the dispute among experts of expert group, and the probability of being identified as medical accident decreases with the improvement of hospital level and professional title of medical personnel. Due to the request of the patient to suspend the medical malpractice identification procedure, the probability of being identified as a medical malpractice is reduced.) in the medical negligence that constitutes a medical malpractice, the medical technical fault is regarded as the fault of the medical treatment.
【学位授予单位】：四川大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：D919.4

【引证文献】